Remote Director, Plan Documents & Compliance

Luminare Health Benefits Inc.; United States; Remote; USD 68,000 - 127,000; Full time

Job summary

Luminare Health is seeking an Associate Director to lead the Plan Documents/Compliance team, providing expertise in benefit interpretation and design to mitigate risk. You will partner with the Plan Building leadership to ensure documents meet client needs and maximize automated claim adjudication.

This remote role requires travel to regional field offices and is supported by a strong focus on staff development, process improvement, and cross-functional collaboration across the enterprise.

Qualifications

• High School Diploma or GED equivalent.
• Minimum of 3 years’ experience in the healthcare/benefits industry.
• Minimum of 1 year previous management experience.
• Advanced knowledge of regulatory requirements applicable to the enterprise.
• Knowledge and application of English grammar including composition, editing and proofreading skills.
• Ability to multi-task, prioritize, handle pressure, and make informed decisions.
• Ability to analyze situations objectively, develop creative solutions, and take initiative.
• Ability to work effectively with differing levels of co-workers including all levels of staff and senior leadership.
• Experience working in a dynamic, fast paced work environment.
• Ability to investigate and problem solve.
• Ability to provide exemplary service to internal and external customer.
• Independent issue resolution skills
• Advanced critical thinking skills
• Experience collaborating cross-functionally (legal/compliance, operations, client management)
• Experience and skills in independently drafting, editing, and maintaining standard and customized plan language
• Ability to travel to regional field offices.

Responsibilities

• Responsible for planning, directing and coordinating staff assignments and monitoring work performance.
• Oversees work – sets goals and objectives, approves tactical steps and ensures timelines are met.
• Meets regularly with the team to assess progress.
• Facilitate weekly meetings with the plan document coordinators.
• Provide expertise throughout the enterprise.
• Works with Compliance and acts as a liaison
• Focus on the greater good of the enterprise, not just focusing on a given region.
• Maintain open channels of communication to allow for free flow of information.
• Communicate status and escalate issues, as needed.
• Handle personnel matters including mentoring, coaching, motivating, performance management and feedback, recognition, performance evaluation and time tracking of direct reports.
• Effectively communicate department goals and objectives.
• Responsible for making sure that expectations of all staff members are appropriately set and clear.
• Use performance management to enable improved performance, or when necessary, take corrective action with underperforming staff members.
• Assess ongoing training and development needs and provide opportunities for improvement, as needed.
• Support team day-to-day operational needs in situations when workload is surpassing what the team can accommodate.
• Create and ensure documentation is accurate and current for the plan document team.
• Documentation to be stored in a shared repository.
• Such information to be available and used to develop existing staff and the onboarding of new staff.
• Participate in cross-functional teams and special projects as assigned.
• Other duties as needed/assigned.

Skills

Staff leadership

Regulatory knowledge

Plan language drafting

Cross-functional collaboration

MS Office

Project management

Communication

Travel willingness

Education

Bachelor's degree in healthcare administration

CEBS, HIAA, or LOMA preferred

Tools

MS Word

Excel

Outlook

Job description

Luminare Health is seeking an Associate Director to lead the Plan Documents/Compliance team, providing expertise in benefit interpretation and design to mitigate risk. You will partner with the Plan Building leadership to ensure documents meet client needs and maximize automated claim adjudication.

This remote role requires travel to regional field offices and is supported by a strong focus on staff development, process improvement, and cross-functional collaboration across the enterprise.